3SL-13320-77013

2 vaccinations 9 coded responses 23 check-ins 9 free-text entries 1 call case

Sex: Male
Age at first dose: 56-60
ZIP prefix: 017 / MA
Registered: 2021-03-25

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-03-25
Registered in v-safe
2021-03-25
Dose 1 — Pfizer-BioNTech
2021-03-25
Survey response — day 0, dose 1
MedDRA: Dizziness — Feeling: Fair · Fever · Fatigue or tiredness · Be unable to work

Free text: Mild dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Survey response — days 1–6 daily, dose 1
MedDRA: Asthenia, Pruritus — Feeling: Good · Site: Pain

Free text: Itchiness in the armpit on the same side as the injection site; marked weakness in injected arm (great difficulty lifting a wine bottle onto a high shelf)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-28
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-01
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-08
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-15
Dose 2 — Pfizer-BioNTech
2021-04-15
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-04-16
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling abnormal, Lethargy — Feeling: Fair · Site: Pain · Fatigue or tiredness

Free text: Mental fog, lethargy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Survey response — days 1–6 daily, dose 2
MedDRA: Muscular weakness, Skin odour abnormal — Feeling: Fair · Site: Pain · Fatigue or tiredness, Abdominal pain

Free text: Amazingly smelly armpits, moderate weakness in injection arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-18
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Good · Fatigue or tiredness

Free text: Very mild lightheadedness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-21
Survey response — days 1–6 daily, dose 2
MedDRA: Asthenia, Hyperhidrosis, Starvation — Feeling: Poor · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to work

Free text: 3:30pm energy crash: Swift weakening/plummeting energy level, diaphoresis (profuse sweating, feeling faint) plus starving sensation after 25min of moderate exercise wearing mask outdoors despite being well-hydrated & having had two good meals, most recently ~1.5 hrs previous to onset, incl. 1cup roasted peanuts, 1 banana, Â¾ cup fresh fruit + 1 cup Chex Mix. Symptoms persisted for over two hours before gradually subsiding completely gone by 10:30. All of the above happened yesterday, but the Vsafe website was down when I tried to report. Today no symptoms, but have not yet tried to exercise.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-29
Survey response — day 14, dose 2
MedDRA: Abdominal pain, Flatulence — Feeling: Good

Free text: Abdominal cramps & gas (36 hrs)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-13
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-20
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-27
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-15
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-14
Survey response — 6 months, dose 2
MedDRA: Abdominal pain, Asthma, Brain fog, Chest discomfort, Dyspnoea, Fatigue, Lymphadenopathy, Oropharyngeal pain, Pyrexia, SARS-CoV-2 test, Sinus congestion, Somnolence, Tinnitus, Tongue disorder, Upper-airway cough syndrome — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Fever, swollen glands, tightness in chest, sore throat, sinus congestion, post-nasal drip, hearing pulse in ears, asthmatic/difficulty breathing, changes to tongue surface, abdominal pain, foggy-headed, drowsy, a great deal of fatigue, etc. · Healthcare visit (other): COVID test

MedDRA releases: 2024-11 · check-in free text available
2021-10-14
Report sent to call center — 6 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2021-11-21
Call 1 — Left Voicemail
2021-11-22
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-04-15
Survey response — 12 months, dose 2
MedDRA: Depression, Fatigue, Lymphadenopathy, Tinnitus — Feeling: Good · Be unable to work or attend school

Free text: Ringing in my ears, depression, periodic fatigue and swollen glands

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-25	Pfizer-BioNTech
2	2021-04-15	Pfizer-BioNTech

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 6 — day 0, dose 1

2021-03-25

Systemic reaction (other): Mild dizziness

Release 6 — days 1–6 daily, dose 1

2021-03-26

Systemic reaction (other): Itchiness in the armpit on the same side as the injection site; marked weakness in injected arm (great difficulty lifting a wine bottle onto a high shelf)

Release 7 — days 1–6 daily, dose 2

2021-04-16

Systemic reaction (other): Mental fog, lethargy

2021-04-17

Systemic reaction (other): Amazingly smelly armpits, moderate weakness in injection arm

2021-04-18

Systemic reaction (other): Very mild lightheadedness

2021-04-21

Systemic reaction (other): 3:30pm energy crash: Swift weakening/plummeting energy level, diaphoresis (profuse sweating, feeling faint) plus starving sensation after 25min of moderate exercise wearing mask outdoors despite being well-hydrated & having had two good meals, most recently ~1.5 hrs previous to onset, incl. 1cup roasted peanuts, 1 banana, Â¾ cup fresh fruit + 1 cup Chex Mix. Symptoms persisted for over two hours before gradually subsiding completely gone by 10:30. All of the above happened yesterday, but the Vsafe website was down when I tried to report. Today no symptoms, but have not yet tried to exercise.

Release 8 — day 14, dose 2

2021-04-29

Symptoms: Abdominal cramps & gas (36 hrs)

Release 10 — 6 months, dose 2

2021-10-14

Symptoms: Fever, swollen glands, tightness in chest, sore throat, sinus congestion, post-nasal drip, hearing pulse in ears, asthmatic/difficulty breathing, changes to tongue surface, abdominal pain, foggy-headed, drowsy, a great deal of fatigue, etc.

Healthcare visit (other): COVID test

Release 11 — 12 months, dose 2

2022-04-15

Symptoms: Ringing in my ears, depression, periodic fatigue and swollen glands

Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".

MedDRA terms by release

Field	Preferred term	2021-09	2023-04	2024-11
HCVO	SARS-CoV-2 test	·	·	✓
SD	Abdominal pain	✓	✓	✓
SD	Asthma	·	·	✓
SD	Brain fog	·	·	✓
SD	Chest discomfort	·	·	✓
SD	Depression	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Fatigue	·	·	✓
SD	Flatulence	✓	✓	✓
SD	Lymphadenopathy	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pyrexia	·	·	✓
SD	Sinus congestion	·	·	✓
SD	Somnolence	·	·	✓
SD	Tinnitus	·	·	✓
SD	Tongue disorder	·	·	✓
SD	Upper-airway cough syndrome	·	·	✓
SRO	Asthenia	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Hyperhidrosis	✓	✓	✓
SRO	Lethargy	✓	✓	✓
SRO	Muscular weakness	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Skin odour abnormal	✓	✓	✓
SRO	Starvation	✓	✓	✓

✓ active code · ○ coded but marked inactive · blank = not in that release